| NPI | 1013996586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 24699) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VT 042-0014399) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 67287) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 45230) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 32997) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2019-08-19 |